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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

EBONY T SALLIS, LPN

Active Sole Proprietor

EBONY T SALLIS, LPN is a Licensed Practical Nurse healthcare provider located in LAVEEN, Arizona. NPI 1407669344 is currently active in the NPPES registry. Verify at CMS.

Licensed Practical Nurse · LAVEEN, AZ

Registration Details

NPI Number
1407669344
Provider Type
Individual
Gender
Female
NPI Issued
Jan 27, 2025 (1.5471740430084 yrs)
Last Updated
Jan 27, 2025
License
LPN092214 (GA)
Sole Proprietor
Yes

Practice Information

Address
3921 W BASELINE RD
LAVEEN, AZ, 853391801
Browse AZ providers · Browse ZIP 85339
Phone
6236067532
Primary Specialty
Licensed Practical Nurse
164W00000X

Other Licensed Practical Nurse Providers in LAVEEN, AZ

Name Credential NPI
MS. CARMALITA MCCLELLAND LPN 1992984926
MRS. SHARON A STEPHENS LPN 1700182417
MRS. BOBBIE JO ROBERTSON-MENESES L.P.N. 1912306200
NNEKA AGBAEZE 1700501426
JOSEPHINE GIBSON JETER 1790484145
CLAUDIA CAYETANO LPN 1144901182
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.